Lulu Attack EX Premium 18 Tablets [Designated Class 2 OTC Drug]

Product Information

A combination cold medicine that suppresses the [inflammation] that causes unpleasant cold symptoms.
1. A double combination of the anti-inflammatory ingredients ibuprofen 600 mg and tranexamic acid 750 mg (in 9 tablets). It is highly effective against sore throat, fever, etc.
2. Thanks to a proprietary formulation technology, ibuprofen dissolves quickly and takes effect.
3. The antihistamine ingredient d-chlorpheniramine maleate suppresses the allergic symptoms of a cold (runny nose, nasal congestion, etc.).
4. Dihydrocodeine phosphate and dl-methylephedrine hydrochloride calm distressing coughs.
5. PTP packaging that is convenient to carry.

Deviating from the specified dosage and administration of a medicine can lead to serious harm to health. Always read the product instructions carefully before use and follow the dosage and administration. Even when a medicine is used correctly according to the dosage and administration, side effects may occur. If you notice anything unusual, stop use immediately and consult a doctor or pharmacist.

About the Sale of Medicines

●Precautions for Use
■■Things You Must Not Do■■ (If you do not follow these, your current symptoms may worsen, or side effects or accidents may be more likely to occur)
1. The following persons must not take this medicine.
(1) Persons who have had allergic symptoms caused by this medicine or any of its ingredients
(2) Persons who have had asthma after taking this medicine or other cold medicines or antipyretic analgesics
(3) Children under 15 years
(4) Pregnant women within 12 weeks of their expected delivery date
(5) Persons receiving treatment for the following diseases or administration of medicines at a medical institution: gastric or duodenal ulcer, blood disease, liver disease, kidney disease, heart disease, high blood pressure, persons receiving zidovudine (Retrovir)
2. While taking this medicine, do not use any of the following medicines.
Other cold medicines, antipyretic analgesics, sedatives, antitussive and expectorants, oral medicines containing antihistamines, etc. (oral medicines for rhinitis, motion sickness medicines, allergy medicines, etc.), oral medicines containing tranexamic acid
3. Do not drive a vehicle or operate machinery after taking this medicine.
(Drowsiness, etc. may occur)
4. Persons who are breastfeeding should not take this medicine, or should avoid breastfeeding if they take it.
5. Do not drink alcohol before or after taking this medicine.
6. Do not take for more than 5 days.
■■Things To Consult On■■
1. The following persons should consult a doctor, pharmacist, or registered salesclerk before taking this medicine.
(1) Persons receiving treatment from a doctor or dentist
(2) Persons who are pregnant or who think they may be pregnant
(3) Elderly persons
(4) Persons who have had allergic symptoms caused by medicines, etc.
(5) Persons with the following symptoms
High fever, difficulty urinating
(6) Persons who have received the following diagnoses: thyroid dysfunction, diabetes, glaucoma, systemic lupus erythematosus, mixed connective tissue disease, bronchial asthma, persons with blood clots (cerebral thrombosis, myocardial infarction, thrombophlebitis, etc.), persons at risk of developing thrombosis, respiratory dysfunction, obstructive sleep apnea syndrome, obesity
(7) Persons who have had the following diseases: gastric or duodenal ulcer, ulcerative colitis, Crohn's disease, blood disease, liver disease, kidney disease
2. If any of the following symptoms appear after taking this medicine, they may be side effects. Stop taking it immediately and consult a doctor, pharmacist, or registered salesclerk, bringing this document with you.

Relevant Area – Symptoms
Skin – Rash/redness, itching, bruising
Digestive system – Nausea/vomiting, loss of appetite, stomach discomfort, stomach pain, mouth ulcers, heartburn, heavy stomach, gastrointestinal bleeding, abdominal pain, diarrhea, bloody stools
Psychiatric/nervous system – Dizziness, insomnia, feeling depressed
Circulatory system – Palpitations
Respiratory system – Shortness of breath
Urinary system – Difficulty urinating
Other – Blurred vision, ringing in the ears, swelling, nosebleeds, bleeding gums, bleeding that is difficult to stop, bleeding, back pain, fatigue

The following serious symptoms may occur rarely.
In that case, see a doctor immediately.

Symptom Name – Symptoms
Shock (anaphylaxis) – Immediately after taking the medicine, itching of the skin, hives, hoarseness, sneezing, itchy throat, difficulty breathing, palpitations, clouding of consciousness, etc. appear.

Blood disorder – Sore throat, fever, general fatigue, whitish face or inner eyelids, bleeding easily (bleeding from the gums, nosebleeds, etc.), bruises (whose color does not fade when pressed), etc. appear.

Digestive tract disorder – Black stools, vomiting blood, bloody stools, mucous bloody stools (soft stools mixed with blood, mucus, and pus), etc. appear.

Oculomucocutaneous syndrome (Stevens-Johnson syndrome), toxic epidermal necrolysis – High fever, red eyes, eye discharge, sores on the lips, sore throat, widespread rash/redness of the skin, etc. persist or rapidly worsen.

Liver dysfunction – Fever, itching, rash, jaundice (yellowing of the skin and the whites of the eyes), brown urine, general fatigue, loss of appetite, etc. appear.

Kidney damage – Fever, rash, decreased urine output, swelling of the whole body, general fatigue, joint pain (aching joints), diarrhea, etc. appear.

Aseptic meningitis – Severe headache with stiffness of the neck, fever, nausea/vomiting, etc. appear. (These symptoms have been reported especially often in persons receiving treatment for systemic lupus erythematosus or mixed connective tissue disease)

Myocardial infarction – Tightening chest pain, difficulty breathing, cold sweat.

Cerebrovascular disorder – Reduced or lost consciousness, difficulty moving the arm and leg on one side, headache, vomiting, dizziness, difficulty speaking, difficulty finding words, etc. appear suddenly.

Interstitial pneumonia – Shortness of breath or difficulty breathing when climbing stairs or exerting yourself a little, dry cough, fever, etc. are seen, and these appear suddenly or persist.

Asthma – Wheezing or whistling sounds when breathing, difficulty breathing, etc. appear.

Aplastic anemia – Bruising, nosebleeds, bleeding gums, fever, pale-looking skin and mucous membranes, fatigue, palpitations, shortness of breath, feeling unwell and lightheaded, blood in the urine, etc. appear.

Agranulocytosis – Sudden high fever, chills, sore throat, etc. appear.

Respiratory depression – Shortness of breath, difficulty breathing, etc. appear.

3. If symptoms such as an excessive drop in body temperature, collapse (lack of strength), or cold extremities (cold hands and feet) appear after taking this medicine, stop taking it immediately and consult a doctor, pharmacist, or registered salesclerk, bringing this document with you.

4. The following symptoms may appear after taking this medicine. If they persist or worsen, stop taking it and consult a doctor, pharmacist, or registered salesclerk, bringing this document with you.
Constipation, dry mouth, drowsiness

5. If symptoms do not improve after taking this medicine 5 to 6 times, stop taking it and consult a doctor, pharmacist, or registered salesclerk, bringing this document with you.
(Especially if fever continues for 3 days or more, or fever recurs)



●Indications
Relief of the various symptoms of a cold (sore throat, fever, chills, headache, runny nose, nasal congestion, sneezing, cough, phlegm, joint pain, muscle pain)



●Dosage and Administration
Take the following dose with water or hot water.
Age – Single dose – Times per day
Adults (15 years and older) – 3 tablets – 3 times. Take preferably within 30 minutes after a meal.
Under 15 years – Do not take.

<Precautions related to dosage and administration>
(1) Strictly follow the dosage and administration.
(2) How to remove the tablets
Press the raised part of the PTP sheet containing the tablet firmly with your fingertip to break the aluminum foil on the back, then take out the tablet and take it. (If the sheet is swallowed by mistake, it may pierce the mucous membrane of the esophagus or cause other unexpected accidents)



●Ingredients and Amounts
This medicine is a white film-coated tablet. 9 tablets contain the following ingredients.
Ingredient – Amount – Action
Ibuprofen – 600 mg
– Acts on [prostaglandins], the source of inflammation and pain, suppressing sore throat, etc. and lowering fever.

Tranexamic acid – 750 mg
– Suppresses [plasmin], the source of inflammation, soothing swelling and pain in the throat.

d-Chlorpheniramine maleate – 3.5 mg
– Suppresses the allergic symptoms of a cold (runny nose, nasal congestion, etc.).

dl-Methylephedrine hydrochloride – 60 mg
– Widens the bronchi and calms coughs.

Dihydrocodeine phosphate – 24 mg
– Acts on the cough center to calm coughs.

Anhydrous caffeine – 75 mg
– Relieves headache.

Benfotiamine (vitamin B1 derivative) – 25 mg
– Promotes recovery of physical strength depleted by a cold.

Riboflavin (vitamin B2) – 12 mg
– Keeps the mucous membranes of the throat, nose, etc. healthy.

Additives: polyoxyethylene hydrogenated castor oil, hypromellose, D-mannitol, cellulose, hydroxypropylcellulose, light anhydrous silicic acid, talc, croscarmellose sodium, polyvinyl alcohol (partially hydrolyzed), triethyl citrate, titanium oxide, carnauba wax

<Precautions related to ingredients and amounts> The riboflavin (vitamin B2) contained in this medicine may turn your urine yellow.



●Precautions for Storage and Handling
(1) Store in a cool place with low humidity, away from direct sunlight.
(2) Store out of the reach of children.
(3) Do not transfer to another container. (This may cause misuse or change the quality)
(4) Do not use the product after the expiration date shown on the package.
Also, after opening the aluminum pouch, use within 12 months.
(5) Write the date the aluminum pouch was opened in the "Opening date" field on the box.

[Other package insert contents] What causes a cold?
A cold is an "acute inflammatory disease of the upper respiratory tract," such as the "throat" and "nose." Viruses, etc. enter the body through the throat, nose, etc. and trigger an excessive inflammatory response. This inflammatory response causes respiratory symptoms such as sore throat, runny nose, cough, and phlegm, as well as fever, etc.
First of all, controlling and calming the inflammation is the key to relieving cold symptoms.
It is also important to take vitamins and get plenty of sleep when you have a cold.



●Contact Information
For inquiries about this product, please contact the store where you purchased it or the following.
Daiichi Sankyo Healthcare Co., Ltd. Customer Consultation Office
〒103-8234 東京都中央区日本橋3-14-10
Phone 0120-337-336
Hours: 9:00 to 17:00 (excluding Saturdays, Sundays, and public holidays)

Manufacturer and Distributor
Daiichi Sankyo Healthcare Co., Ltd.
東京都中央区日本橋3-14-10
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